Semin Plast Surg 2002; 16(3): 283-294
DOI: 10.1055/s-2002-34433
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Evolution of Craniomaxillofacial Trauma

Richard H. Lee1 , Paul N. Manson1 , Bradley Robertson2
  • 1Divisions of Plastic and Reconstructive Surgery, Johns Hopkins Medical Institutions, Baltimore, MD
  • 2Department of Plastic and Reconstructive Surgery, University of Maryland School of Medicine, Baltimore, MD
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Publication History

Publication Date:
01 October 2002 (online)


A 17-year retrospective review of 11,889 patients admitted to the R. Adams Cowley Shock Trauma Center with facial fractures from blunt trauma was conducted. We examined the population, incidence, severity, etiology, and evolving nature of maxillofacial injuries over time. The average age at presentation was 33.4 years, with a 2:1 male predominance. Motor vehicle collision (MVC) was the most common mechanism of injury for all age groups. Soft tissue injuries from blunt trauma generally occurred along a T-shaped distribution involving areas of facial prominence. In MVCs, seatbelts and airbags significantly reduced the incidence of facial fractures and lacerations. Moreover, significant protection against fractures of the midface was noted in those who wore seatbelts and had airbags at the time of injury.